1976, 11-22 Permit App: L6289 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
whish are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
ess fol r/ / Phone 838-6567
Address 2 7 a< f 0--= a -k7
Phone
Address ;L_._ % .) - •? `J Phone
Address Phone
$42.00
C,
Name of Owner
Architect
Engineer r ,
Contractor
nes
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 3, Blk. 1 Loita Addition /S_ a s
DESCRIPTION OF WORK: New X Addition
cio
Stories' Dimensions D
Rooms � Baths 1 t i"7 Basement
IF II part, no
Type of Roofing
Size of Lot
Heat. System
Use of BI
Remodel
Moving
Sewage
i
Foundation Cont
y .
Ext. Finish
Bld . Zone / Fire Z
System -,----onst.
(Fr., Co , etc.)
Valuation
Chimney L— Fireplace ,
(Kind) (Numbs((
-/7( Int. Wall Finish'ftAi---11 jrz
No. of Units _ Bedrooms
Total Sq. Ft
/
PLOT PLAN
Draw ske ch with dimensions sho ing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
SOUTH
I hereby certy)infor " on sutpitte
State License No.
Ind.t Ina. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is,correct and there are no other structures located on this property except
Owner f Agent / Date
A LAND USE OR STRU TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be a q
Sewage Permit Number Issued 4
Remarks
DO NOT WRITE BELOW THIS LINE
Building Permit
The zone is.
Receipt Issued
Form 523 BIda. Cade